SOUTHWEST DERMATOLOGY, PC
NPI 1235374919
Dermatology in Chicago, IL

Active since December 09, 2008
7123 W ARCHER AVE, CHICAGO, IL 60638(773) 586-4506 Get Directions Write a Review

NPPES record last updated: December 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwest Dermatology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST DERMATOLOGY, PC (NPI 1235374919) is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since December 2008. The organization lists Julie Moreno, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1235374919
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHWEST DERMATOLOGY, PC
Location Address7123 W ARCHER AVEChicago, IL 60638-2203
Mailing Address7123 W Archer AveChicago, IL 60638-2203 · (773) 586-4506
Organization SubpartNo
Authorized OfficialJulie MorenoCredentialing Specialist · (773) 586-4506
Enumeration DateDecember 9, 2008
NPI 1235374919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedNurse PractitionerTaxonomy 363L00000X
7123 W ARCHER AVE, Chicago, IL 60638

Other Identifiers 13

OtherI22305Upin
Medicare UPINL99550
OtherD14504IL · Upin
Medicare UPINL99553
OtherH88109Upin
Medicare UPINR01258
OtherI60050Upin
OtherP60539Upin
Medicare UPINK07403
Medicare UPINK02052
Medicare UPINK16089
Medicaid036059742IL
Medicare PIN206248

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
7123 W ARCHER AVE
CHICAGO, IL 60638
Nurse Practitioner
7123 W ARCHER AVE
CHICAGO, IL 60638
Dermatology (Dermatopathology)
7123 W ARCHER AVE
CHICAGO, IL 60638

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Dermatology, PC's NPI number?

The NPI number for Southwest Dermatology, PC is 1235374919. It was assigned to this organization in the NPPES registry on December 9, 2008.

Where is Southwest Dermatology, PC located?

Southwest Dermatology, PC is located at 7123 W Archer Ave, Chicago, IL 60638. The listed phone number is (773) 586-4506.

What is Southwest Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Southwest Dermatology, PC was last updated on December 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.